Active NPI
Duane E Kreil, M.D.
- Obstetrics Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- DK058272
- Practice address
- 22074 Michigan Ave
Dearborn, MI 48124-2353 - Phone
- (313) 565-9510
- Fax
- (313) 565-4410
- NPI assigned
- Apr 18, 2006
- Last updated
- Mar 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | DK058272 | MI | Primary |
Addresses
Primary practice location
22074 Michigan Ave
Dearborn, MI 48124-2353
Mailing address
5029 Village Square CT
W Bloomfield, MI 48322-3379
Phone (248) 788-3761
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160H261380 | Other | MI | BCBSM/BCN |
| G08062 | Other | MI | HAP |
| 4363533 | Medicaid | MI | |
| 015098 | Other | MI | MIDWEST HEALTH PLANS |
| 125116 | Other | MI | CARE CHOICES |
| 47526 | Other | MI | OMNICARE HEALTH PLAN |
| P87561 | Other | MI | BCN |
| 4312641 | Medicaid | MI | |
| 5338131 | Other | MI | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Wayne State University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22074 Michigan Ave
Dearborn, MI 48124-2353
Phone (313) 565-9510
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DK058272 | MI | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Ambulatory LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Oakwood Ambulatory, LLC | Current | Accepting new patients | |
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Kreil and Rochefort PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Oakwood Healthcare, Inc. | Past | Accepting new patients |
Locations
201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065
1711 Monroe St
Dearborn, MI 48124
Phone (313) 359-9361
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
18181 Oakwood Blvd
Ste 410
Dearborn, MI 48124
Phone (313) 271-0066
22074 Michigan Ave
Dearborn, MI 48124
Phone (313) 565-9510
10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000
26650 Eureka Rd
#C1
Taylor, MI 48180
Phone (734) 941-4991
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Interoperability endpoints
- dkreil1242408@epic00.shdirect.org
- duane.kreil.1@21805.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba West Village OBGYN
- Obstetrics & Gynecology Physician
- Dearborn, MI
- NPI 1932214988
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1003829441
Obstetrics & Gynecology
-
- Podiatrist
- Westland, MI
- NPI 1013157361
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Outpatient Diabetes Education
- Community Health Clinic/Center
- Dearborn, MI
- NPI 1790414670
Hospital
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1427013184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5029 VILLAGE SQUARE CT",
"city": "W BLOOMFIELD",
"state": "MI",
"postal_code": "483223379",
"telephone_number": "248-788-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22074 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242353",
"telephone_number": "313-565-9510",
"fax_number": "313-565-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREIL",
"first_name": "DUANE",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "MI",
"license": "DK058272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM/BCN",
"identifier": "160H261380",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "G08062",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4363533",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST HEALTH PLANS",
"identifier": "015098",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "125116",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMNICARE HEALTH PLAN",
"identifier": "47526",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "P87561",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4312641",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5338131",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.